Emily F Rothman

Emily F Rothman
Boston University | BU · Department of Community Health Sciences

ScD

About

154
Publications
25,468
Reads
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4,355
Citations
Introduction
**I do not send reprints through this website** Please email me instead. I am a social scientist focused on violence prevention using public health tools and perspective. Adolescent health and health inequities are often the subject of my work. Find me on Twitter @EmRothman I will not send articles via this website, so feel free to email me at erothman at bu dot edu . ORCID ID 0000-0003-0113-2577
Additional affiliations
January 2013 - present
Boston University
Position
  • Professor (Associate)
Description
  • secondary appointment
January 2006 - December 2012
Boston University
September 1997 - May 2000
Massachusetts Department of Public Health
Position
  • Batterer Intervention Program Services

Publications

Publications (154)
Article
Full-text available
Background Dating abuse (DA) is prevalent and consequential, but no brief DA screening tools are available for use in pediatric or other settings. This study was designed to determine the sensitivity, specificity, and predictive values of the MARSHA-C, which is a three-item DA victimization screening tool. Methods The participants were 224 U.S. yo...
Article
Background: Recent research indicates that pregnant women in rural communities are at increased risk of experiencing IPV and comorbid illicit opioid use compared to urban-residing pregnant women. Few studies of the interactions among rurality, substance use, and victimization in pregnant women exist. The current study sought to examine the relation...
Article
Lay abstract: What is already known about the topic? Hazardous alcohol use is when a person's drinking puts them at increased risk for negative events (e.g. health problems or car crashes). Some studies show that autistic people may be at greater risk for hazardous alcohol use than non-autistic people, while other studies have found that hazardous...
Article
BACKGROUND We provide an update on reproductive health education (RHE) and substance use prevention education (SUPE) participation for autistic youth compared with other youth with and without individualized education plans (IEPs) and 504 plans. The 800 000 autistic youth served by the US special education system need education to make informed dec...
Article
Purpose Adolescent dating abuse (ADA) is a public health issue. Adolescents may experience victimization, engage in perpetration, or both. This study explores the co-occurrences of ADA victimization and perpetration, specifically examining which experiences and behaviors are most likely to co-occur and whether these vary by gender. Methods Data ca...
Article
Lay abstract: The Healthy Relationships on the Autism Spectrum class is unique because autistic people helped to develop it and co-taught it. It is an online, six-session class. The class was piloted in 2020-2021 with 55 autistic people who were ages 18-44 years old. This feasibility study found that most people who took the class liked it. Survey...
Article
Objective To compare rates of aggression victimization for autistic vs. non-autistic U.S. college students. Participants: n = 1,411 autistic and n = 218,430 non-autistic students from 78 colleges. Methods: We used a three-way interaction term to examine moderation of the relationship between autism and sexual, physical and emotional aggression vict...
Article
Full-text available
Objective Patients with labor and sex trafficking experiences seek healthcare while and after being trafficked. Their trafficking experiences are often unrecognized by clinicians who lack a validated tool to systematically screen for trafficking. We aimed to derive and validate a brief, comprehensive trafficking screening tool for use in healthcare...
Article
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Background This systematic review investigated the state of intervention science on programs that promote healthy intimate relationship skills and sexual health for autistic youth (i.e., healthy intimacy).Methods Using PRISMA guidelines, we reviewed randomized controlled trials (RCTs) published in 2010 or later that enrolled ≥ 1 autistic adolescent...
Article
Lay abstract: What is already known about the topic? All people can benefit from education about how to have healthy friendships and dating relationships. But specific interventions on relationship skills-like respecting boundaries, identifying warning signs of abuse, or talking about sexual preferences-are too rare, particularly for autistic indi...
Article
Full-text available
The purpose of this brief report is to share the results of a feasibility test of a six-session online class on dating violence prevention for autistic adolescents. The feasibility of delivering the online intervention was tested with a sample of N = 11 autistic youth ages 15–19 years old. The intervention was delivered once a week for 6 weeks. Par...
Article
Full-text available
Purpose: To investigate same day, previous day, and next day associations between trust, closeness, commitment, jealousy and provision of instrumental support with dating violence victimization and perpetration. Method: A convenience sample of young women, 16-19 years, in a heterosexual dating relationship with at least one act (past month) of p...
Article
The purpose of this study was to evaluate the efficacy of the Escalation Workshop with a sample of US Navy sailors. Escalation is a one-session workshop designed to promote bystander behavior related to dating abuse. We conducted a two-arm RCT with follow-up at 4 and 8 months. Participants were 335 Navy sailors, recruited from two comparable ships...
Article
The Strength at Home (SAH) intervention, a trauma-informed, cognitive-behavioral intervention for intimate partner violence (IPV), was examined in a sample of court-mandated men. Evidence from prior research indicates that SAH is effective in military veterans but the program has not been examined in civilians. It was expected that SAH participants...
Article
Full-text available
We analyzed cross-sectional data collected from a U.S. nationally representative survey of individuals ages 14–24 years old on what sources of information from the past year they considered to be the most helpful about how to have sex (n = 600 adolescents ages 14–17 years old, and n = 666 young adults ages 18–24 years old). Among the 324 adolescent...
Article
This article describes a new instrument that assesses adolescent dating abuse (ADA) victimization and perpetration. The Measure of Adolescent Relationship Harassment and Abuse (MARSHA) is a comprehensive instrument that includes items on physical, sexual, and psychological ADA, as well as cyber dating abuse, social control, and invasion of privacy....
Article
Sexual violence (SV) and intimate partner violence (IPV), which often co-occur with bullying, are serious public health issues underscoring the need for primary prevention. The purpose of this study was to examine the impact of a community-building SV and IPV prevention program, Green Dot Community, on adolescents’ perceptions of community social n...
Article
The purpose of this qualitative study was to explore consequences of the nonconsensual dissemination of sexually explicit media (NCDSEM) for survivors, with an emphasis on how NCDSEM may impact social relationships and social anxiety. One-on-one telephone interviews with (N = 17) self-identified survivors of NCDSEM were conducted between May and De...
Article
This qualitative study explored themes about barriers to substance use treatment for women who experience intimate partner violence (IPV) and opioid use in rural Vermont. The goal was to collect descriptive information to aid in the development of intervention ideas to facilitate better treatment access for women in this situation. One‐on‐one telep...
Article
This formative research study was designed to collect opinion data from adolescents historically underrepresented in adolescent dating abuse (ADA) research measure development. Eight in-person focus groups and 7 telephone-based one-on-one interviews were conducted with U.S. youth aged from 11 to 20 years ( N=48). We conducted two focus groups with...
Article
Full-text available
Adolescent dating abuse (ADA) is a prevalent and consequential public health problem. However, there are no studies to date that explore what adolescents who have perpetrated ADA say would motivate their cessation. The aim of this study is to uncover self-reported reasons why girls might be motivated to stop perpetrating ADA. This study repurposed...
Article
There are no nationally representative estimates of the prevalence of dating abuse–related stalking and harassment. We analyzed data collected from 320 twelve- to 18-year-old U.S. youth. Youth with dating experience were asked whether a dating partner had ever spied on or followed them, damaged something that belonged to them, or gone through their...
Article
Full-text available
Sexual harassment is a pervasive problem predominantly perpetrated by men. Creating cultural shifts to prevent men’s sexual harassment perpetration requires attention to community as well as individual factors. Study data were collected from a cohort of 768 youth and young adult males ages 10–18 at baseline (2013), with follow-up 3 years later. Mul...
Article
Adolescent relationship aggression (ARA) is a prevalent public health issue with myriad adverse health outcomes. Experts suggest that a research focus on individual- and family-level risk factors for ARA has been too limited, proposing that research on the “outer layers” of the social-ecological model, including community-level risk factors, may ho...
Article
In 2016, in response to concern about the impact of pornography on adolescents, the Boston Public Health Commission partnered with a university researcher to develop a nine-session media literacy curriculum on pornography for adolescents. The curriculum was pilot-tested with five small classes of adolescents between 2016 and 2019 (n = 31). Many adu...
Article
Background: Labor and sex trafficking have long impacted the patients who seek care in emergency departments (ED) across the United States. Increasing social and legislative pressures have led to multiple calls for screening for trafficking in the clinical care setting, but adoption of unvalidated screening tools for trafficking recognition is unw...
Article
Research has shown that neighborhoods play a role in the etiology of violence. However, few adolescent relationship aggression (ARA) studies have objective measures of violent neighborhoods. Drawing on a nationally representative sample of youth, this study examines the association between ARA and local levels of violent crime (measured using geoco...
Article
This study aimed to investigate the potential differential effects of state-level firearm laws on black and white populations. Using a panel design, authors examined the relationship between state firearm laws and homicide victimization rates among white people and black people in 39 states during the period between 1991 and 2016. Authors modeled h...
Article
Dating abuse (DA) is prevalent and consequential, yet there are no evidence-based interventions for the health care setting that prevent perpetration. The current study’s purpose was to test a one-session brief motivational interview-style intervention to decrease DA perpetration. We conducted a two-arm RCT of the Real Talk intervention with follow...
Article
The objective of this study was to investigate whether state-level gender inequity is associated with state-level intimate partner homicide rates (IPHR), male homicide rates, female homicide rates, firearm-related homicide rates, and overall homicide rates over the period of 2000–2017 in the United States. Using a cross-sectional design, we evaluat...
Article
Purpose: This article aims to examine whether state firearm laws impact homicide rates differently in suburban and rural areas compared to large cities in the United States. Methods: We analyzed serial, cross-sectional data for the 26-year period 1991-2016 using a panel design. We examined the relationship between 6 specific state firearm laws a...
Article
The commercial sexual exploitation (CSE) of children is a consequential public health and criminal justice problem, but no CSE prevention programs have been evaluated. The Boston-based My Life My Choice (MLMC) program offers a multisession psychoeducation group to girls who are identified as “at-disproportionate-risk” for CSE victimization and trai...
Article
Background: Commercial sexual exploitation (CSE) of children is a significant public health and criminal justice problem, but there are few evaluated models of CSE mentorship service. Objectives: To assess whether youth who participated in a CSE survivor-mentor program evidenced changes in CSE victimization, dating abuse victimization, health, d...
Article
Purpose of Review The goal of this review was to answer two questions: A) What is the prevalence of opioid use in samples of people who are victims and/or perpetrators of intimate partner violence (IPV), and B) what is the prevalence of IPV among those who have used opioids? Recent Findings There were five times as many research studies of IPV in...
Article
Intimate partner violence (IPV) in adolescence, including emotional, physical, and sexual dating violence, is a prevalent problem that has well-documented adverse health outcomes.¹ In a national survey,² 10% of US high school–attending boys and 20% of girls reported experiencing physical or sexual dating abuse annually, including being hit, slammed...
Article
Full-text available
This article proposes new approaches to sexual violence prevention on college and university campuses in the United States. The author conducted four thought experiments about possible college sexual assault prevention strategies based on personal experience with campus administrators and sexual assault prevention specialists, review of existing re...
Article
There is enthusiasm for programs that promote bystander intervention to prevent dating and sexual violence (DSV). However, more information about what facilitates or inhibits bystander behavior in DSV situations is needed. The present cross‐sectional survey study investigated whether youth perceptions of adults’ behavior and community norms were as...
Article
It is estimated that upward of 15.5 million children live in homes where they are exposed to physical and psychological intimate partner violence (IPV). Research indicates that IPV can have deleterious effects on children, including a variety of psychosocial problems, although there is much variability in outcomes of children exposed to IPV. Indivi...
Article
This study examines the cross-sectional and longitudinal associations between weapon carrying and cyberbullying (i.e., perpetration, victimization, and perpetration/victimization) and explore the relationship directions. Four waves of data were used from an ongoing longitudinal study. Participants were 1,042 adolescents, including 55.9 percent fema...
Article
Full-text available
The purpose of this study was to fill a gap in the existing research by exploring policies and practices of domestic violence shelters in one US state pertaining to clients with opioid use disorders (OUDs), as well as documenting some of their experiences providing services to those clients. We used semi-structured key informant interviews to gathe...
Article
Twitter has rapidly gained popularity as a space for the public to discuss sexual violence (SV) prevention due to a number of high-profile SV cases. This study aimed to examine Twitter discourse on SV prevention through the hashtag #HowIWillChange, which encouraged Twitter users to come forward and report plans to engage in bystander prevention. We...
Article
The purpose of this study was to investigate same-day alcohol or marijuana use and dating abuse (DA) perpetration in a sample of 60 noncollege-attending young adults. Participants reported daily data for 3 months. DA perpetration was more likely on days when participants also reported alcohol use (odds ratio [OR] = 2.17, 95% confidence interval [CI...
Article
This article presents seven challenges of collecting primary (i.e., firsthand) data from commercially sexually exploited children (CSEC). We drew on our research team's experience collecting longitudinal data from 28 CSEC survivors with a 12-month follow-up period. We used both face-to-face and electronic group brainstorming methods to nominate a l...
Article
Full-text available
Objective: To investigate the relationship between racial residential segregation and differences in Black-White disparities in overall firearm homicides across U.S states. Methods: Using a linear regression, we evaluated the relationship between racial residential segregation, as measured by the index of dissimilarity, and the Black-White firea...
Article
Objective: To determine whether health literacy was associated with parental self-efficacy in a diverse sample of parents of newborns. We hypothesized that parents with lower health literacy would have lower parental self-efficacy. Study design: We conducted a cross-sectional analysis of baseline surveys from 253 English and Spanish speaking par...
Article
Full-text available
Informed by alcohol myopia theory and Leonard’s (1993) heuristic model of intimate partner violence (IPV), we hypothesized that alcohol problems would positively relate to IPV among men with high, but not low, trait jealousy. We collected cross-sectional, self-report data from 74 men arrested for domestic violence and court-ordered to batterer inte...
Article
In a cross-sectional, panel study, we examined the relationship between state firearm laws and the extent of interstate transfer of guns, as measured by the percentage of crime guns recovered in a state and traced to an in-state source (as opposed to guns recovered in a state and traced to an out-of-state source). We used 2006–2016 data on state fi...
Conference Paper
Introduction. Intimate partner violence (IPV) and comorbid substance use are substantial and consequential public health problems. The specific subtopic of opiate use by pregnant women and its relationship to IPV victimization and adverse fetal and maternal health outcomes is understudied but critically important. Recent research suggests that 75%...
Article
To determine the current and potential future impact of sexting on adolescents, we need more information about youths’ attitudes and beliefs concerning this behavior. Using a national sample of 1,560 youth Internet users, ages 10 to 17, collected between 2010-2011, the present study examined the attitudes and beliefs about the impact of sexting as...
Article
The purpose of this study was to evaluate the preliminary efficacy of a media literacy curriculum focused on pornography among a sample of U.S-based, urban-residing youth. Participants were 24 youth between the ages of 15–24 years old, although 65% were 17–18 years old. The sample was 43% female, 43% male, 9% transgender, 52% Black, 22% Hispanic, 1...
Article
Objective: Assess the efficacy of a college dating abuse (DA) prevention workshop. Participants: 85 students from Greek organizations. Methods: Two fraternities and two sororities were randomized to intervention or waitlist control. Participants completed a baseline and 3-month follow-up survey. Data were analyzed using MANOVA. Results: As c...
Article
Background: To prevent intimate partner homicide (IPH), some states have adopted laws restricting firearm possession by intimate partner violence (IPV) offenders. "Possession" laws prohibit the possession of firearms by these offenders. "Relinquishment" laws prohibit firearm possession and also explicitly require offenders to surrender their firea...
Article
Objective The patient-centered medical home (PCMH) seeks to improve population health. However, PCMH models often focus on improving treatment of chronic diseases rather than on addressing psychosocial adversity. We sought to gather key stakeholder input about how PCMHs might feasibly and sustainably address psychosocial adversity within their pati...
Article
Objectives: The current study aimed to investigate the relationship between advanced pubertal development and adolescent dating abuse (ADA) and to test if this relationship is moderated by friendship group characteristics in a nationally representative sample of US girls. Methods: Data were drawn from wave 1 and 2 (1995-1996) of the National Lon...
Article
Objective: Transgender individuals now have many options for medical intervention, including gender affirmation surgeries. However, it is unknown how common it is for transgender individuals to undergo these surgeries. The purpose of this cross-sectional study was to assess the prevalence of gender affirming surgeries among transgender patients in...
Article
Objective: There is no empirical information about how parents react when they discover that their young children have seen pornography. To address this gap in the literature, the current study sought to improve our understanding of parental reactions to discovering that their children ages <12 years old have seen pornography using a mixed-methods...
Article
Full-text available
Objective: We provide the first investigation of the prevalence and frequency of cyber abuse among men arrested for domestic violence (DV). We also offer the first conceptualization of cyber monitoring, a facet of cyber abuse, within the I3 theory of IPV. That is, the risk of IPV perpetration may be higher for men with alcohol problems who also fr...
Article
Using a single case study, the article presents an innovative model of aftercare service for commercially sexually exploited children (CSEC), child abuse victims, and court-involved youth based in the Veneto region of Italy. Data included: (a) two interviews of the Executive Director of the shelter; (b) one first-hand observation of the shelter; an...
Article
Full-text available
Introduction: Despite the prevalence of intimate partner violence (IPV), there is a paucity of research exploring the role that physicians might play in intervening with IPV perpetrators. Methods: A qualitative study explored interactions between family medicine physicians and male perpetrators of IPV. Fifteen physicians were purposefully sample...
Article
Full-text available
To maintain positive health outcomes over the life course, prevention efforts should begin early in childhood. Two research domains that significantly impact the trajectory of health over the life course are childhood obesity and early trauma and violence. Prevention strategies addressing multiple levels of influence are being adopted in these fiel...
Article
Purpose: To assess if adolescent dating violence was associated with physical intimate partner violence victimization in adulthood, using a comprehensive propensity score to create a matched group of victims and nonvictims. Methods: Secondary analysis of waves 1 (1994-1995), 2 (1996), 3 (2001-2002) and 4 (2007-2008) of the National Longitudinal...
Article
Background: As restrictions on marijuana are loosened, there is concern of a coming increase in marijuana use among adolescents and emerging adults, which could be coupled with commensurate increases in behavioral problems associated with use, such as physical dating violence (PDV). To summarize what is known about the association between marijuan...
Article
Introduction and aims: Alcohol use is one of the most widely accepted and studied risk factors for teen dating violence (TDV). Too little research has explored longitudinally if it is true that an adolescent's alcohol use and TDV involvement simultaneously occur. In the current study, we examined whether there were latent status based on past-year...
Article
According to the World Health Organization, "commercial sex" is the exchange of money or goods for sexual services, and this term can be applied to both consensual and nonconsensual exchanges. Some nonconsensual exchanges qualify as human trafficking. Whether the form of commercial sex that is also known as prostitution should be decriminalized is...
Article
Dating abuse is a prevalent and consequential public health problem. However, relatively few studies have compared methods of collecting self-report data on dating abuse perpetration. This study compares two data collection methods—(a) the Timeline Followback (TLFB) retrospective reporting method, which makes use of a written calendar to prompt res...
Article
The health care setting is thought to be one of the most promising places to identify victims of human trafficking. The present study was designed to relay the experiences of a sample of 10 health care providers and hospital administrators who developed and have used a protocol to identify victims of human trafficking since February 2014. To our kn...